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Project Address: 4309 W Roosevelt Ave <br />Assessor'sParcel. 100-573-03 Lot: 52 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: 3737 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />q <br />City of Santa Ana <br />Permat Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) A67-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ16,5577 <br />Pin #: 65795 <br />Owner: <br />Address <br />Contraclor <br />Address. <br />Phone <br />Tenant Name: <br />Ruben Vallejo <br />4309 W Roosevelt Ave <br />Santa Ana, CA 92703 <br />(714) 913-0470 <br />S&PPremierBuilderg <br />3685 S Via El Modena, #4 <br />Orange, CA 92869 <br />(714) 547-8076 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Amount <br />0.14 <br />23.87 <br />35.35 <br />21 .25 <br />52.98 <br />Botchi:13156 - 1.t9 /21"t <br />0ff ice: CIYH TronE+ <br />Acct+: <br />Rcatir{!2227?lt1 - l/9 <br />Tronsoct ion Tot (ll <br />Phone <br />Stale Lic #: 446485 <br />Lic Type; B, C-io <br />Bus. Lic #: 348541 <br />Workers' Compensation lnsurance:Carrier: Exempl <br />Policy #: <br />Expires: <br />01 1 16002 <br />011't6002 <br />0'1 1 16002 <br />01116002 <br />01116002 <br />Foe Type <br />Addn/Res <br />FWU <br />Lovv Voltage/Res <br />General Plan Update <br />lssuance <br />Qty <br />770.00 <br />1 .00 <br />100 <br />1 .00 <br />1 .00 <br />Fee <br />$107.80 <br />$23.87 <br />$35.35 <br />$21.25 <br />$52.98 <br />r F.r ':A' '- <br />!1 <br />1&FPreiierPu <br />Generol Pldn Updo t e FP <br />!ll 1 I 6['102- 5 I 3t(-r(rtr(r- <br />E lP(tr icol|:rlI1600r- 51!.r-r30(r-r- <br />ICL Check 2617 <br />l?l . ?l <br />i??rl. 00 <br />tl r 89l .91 <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Faeld: <br />Building Permit #: <br />Occupancy. <br />Constr Type <br />Code:Notes <br />Planning Conditions: Noncompliant driveway hardscape in front yard to be removed and <br />replaced with compliant walkway and landscaping <br />Planning Approval By <br />ki, <br />D <br />D <br />ate: Misc. Receipt: <br />ale: Misc. Receipt: <br />ate: 04109/2018 Misc. Receipt: <br />Account# Total <br />011 16002 51600 s21 .25 <br />011 16002 51603 $220 00 <br />10 685 <br />Every peinit issued sh6ll become invalid unlessthe wotk on the site <br />authonzed by such peml is commoncod withn180 days eftet ls <br />issuance. or if the wotk authonzed on the site by such pemit is suspended <br />ot abandoned fot a penod of 1 80 days 1ftet the line the wo* is <br />commenced <br />lnspector MID#: 2017-137805 <br />$241 .25 <br />$0 00 <br />$24',t.25 <br />Building Use: Singlc Family Dwellang <br />Job Type: Addition <br />Nature otWorkr Addn & Rsmodel <br />R.3, U <br />VB <br />cEc 20r6 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: